| NPI | 1386072403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SALTZMAN President 774-628-9169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MA 11199) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2024-07-30 |